72% of revenue cycle leaders cite claim denials as a significant challenge.¹ Discover what’s driving denials, where they begin, and how organizations are moving from rework to prevention.
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Claim denials drain revenue, create administrative burden, and slow the work of revenue cycle teams. The root causes are not always obvious, making it difficult to know where prevention efforts should begin.
Drawing on research from revenue cycle leaders across acute, post-acute, and ambulatory settings, this session explores the underlying drivers behind today's denial trends, how they vary across care settings, and why many organizations are rethinking traditional approaches to denial management.
You'll gain a deeper understanding of the workflows, processes, and decisions that influence denial outcomes, along with emerging strategies to help shift efforts from rework to proactive prevention.
Learn why 78% of leaders trace denied claims to at least one front-end workflow and which processes contribute most often.¹
Understand how denial drivers differ across acute, post-acute, and ambulatory organizations and what that means for your team.
Learn how organizations are shifting from reactive denial management to prevention before claims are submitted.
*Benefit 4 Desc
Claim denials drain revenue, create administrative burden, and slow the work of revenue cycle teams. The root causes are not always obvious, making it difficult to know where prevention efforts should begin.
Drawing on research from revenue cycle leaders across acute, post-acute, and ambulatory settings, this session explores the underlying drivers behind today's denial trends, how they vary across care settings, and why many organizations are rethinking traditional approaches to denial management.
You'll gain a deeper understanding of the workflows, processes, and decisions that influence denial outcomes, along with emerging strategies to help shift efforts from rework to proactive prevention.
Learn why 78% of leaders trace denied claims to at least one front-end workflow and which processes contribute most often.¹
Understand how denial drivers differ across acute, post-acute, and ambulatory organizations and what that means for your team.
Learn how organizations are shifting from reactive denial management to prevention before claims are submitted.
The ScriptMed Cloud software solution is an industry leader, serving six of the top ten specialty pharmacies, and 35% of specialty pharmacy patients nationally
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Director of Product Management, Front-End Revenue Cycle Management, Inovalon
Jason Piele leads product strategy efforts focused on front-end revenue cycle challenges, including eligibility verification, prior authorization, claim accuracy, and denial prevention.
Principal Market Researcher, Inovalon
Susan Lilly leads healthcare market research initiatives that uncover provider perspectives on operational, financial, and revenue cycle challenges, helping organizations better understand emerging industry trends.
Learn what's driving claim denials and where organizations are finding opportunities to prevent them.
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisimenim ad minim veniam, quis nostrud exerci tation
Medical Software Specialist
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisimenim ad minim veniam, quis nostrud exerci tation
Medical Software Specialist